<form id="add-form" class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST" action="">
    {:token()}
    <div class="form-group">
        <label for="username" class="control-label col-xs-12 col-sm-2">选择端口:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="username" name="" value=""  />
        </div>
    </div>
    <div class="form-group">
        <label for="email" class="control-label col-xs-12 col-sm-2">输入端口:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="email" class="form-control" id="email" name="row[email]" value=""  placeholder="多个请用逗号进行隔开,例如21,80,443,3306" />
        </div>
    </div>
    <div class="form-group">
        <label for="email" class="control-label col-xs-12 col-sm-2">请求频率:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="number" class="form-control"  id="11" name="row[email]"  placeholder="每请求1个端口休息多少秒,默认为0" />
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">所有端口:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio"><label for="row[status]-normal"><input id="row[status]-normal" checked="checked" name="row[status]" type="radio" value="normal"> 是(扫描0-65535范围的所有端口)</label> <label for="row[status]-hidden"><input id="row[status]-hidden" name="row[status]" type="radio" value="hidden">否(按照勾选和输入的端口扫描)</label></div>
        </div>
    </div>
    <div class="form-group hidden layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>